Individual provider · Type 1 NPI

Candice Phillips

Licensed Practical Nurse · Roseburg, OR

NPI number 1720770548 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Call (541) 492-4550 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X10008606 (OR)
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Licensed Practical Nurse Primary 164W00000X10008606 (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1720770548

Candice Phillips's National Provider Identifier is 1720770548, issued on May 22, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Roseburg, OR. The record was last updated on May 22, 2023.